• RN Case Manager

    UCLA Health (Los Angeles, CA)
    …Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of ... + Strong leadership abilities + Systems planning and patient care management experience in a high-volume work environment + Excellent communication, interpersonal,… more
    UCLA Health (08/26/25)
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  • LVN Case Manager - Full Time - Days - 8hr…

    Emanate Health (Covina, CA)
    …License Requirement:** Current California LVN License. BLS. Other certification in Case Management preferred. Delivering world-class health care one patient ... recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, verbal and time… more
    Emanate Health (07/09/25)
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  • RN Case Manager - Child Adolescent…

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: The Care Coordinator, in collaboration with specialty medical providers, performs case management and direct patient care to assigned patients. This ... facilitates effective functionality of clinic operations, actively participates in Quality Management and acts as a provider extender within their scope of… more
    Rady Children's Hospital San Diego (08/11/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization…

    Sharp HealthCare (San Diego, CA)
    Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA) **Hours** **:** **Shift Start Time:** Variable ... healthcare related field. + Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED + Certified Case Manager (CCM) -… more
    Sharp HealthCare (08/02/25)
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  • Director, Inpatient System Care Management

    Alameda Health System (Oakland, CA)
    …classification. + Accountable for Patient Care Coordination activities including system-wide Case Management , Care Coordination and Discharge Planning. + Aligns ... Case Management with AHS strategic and operational objectives. + Optimizes...one-day stays, DRGs, LOS. + Develops, maintains and implements Case Management policies, practices and procedures in… more
    Alameda Health System (08/08/25)
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  • RN Manager - Care Management

    Providence (Apple Valley, CA)
    …include a manager on-call responsibility every other week for emergent issues. Case Management is a collaborative practice including patients, caregivers, ... physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along… more
    Providence (08/27/25)
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  • Utilization Management Admissions Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …nursing facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent, post-service, ... setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not limited to, placement… more
    LA Care Health Plan (08/02/25)
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  • Utilization Management LVN (Remote - CA…

    Actalent (Redlands, CA)
    …and obtain appropriate contracts as necessary. + Identify cases requiring additional case management and coordinate care with relevant departments. + Collaborate ... and Milliman Criteria Guidelines. + Proficiency in prior authorizations and case management . + Knowledge of NCQA standards. Additional Skills & Qualifications +… more
    Actalent (08/21/25)
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  • Senior Social Worker - Outpatient Pain…

    Veterans Affairs, Veterans Health Administration (Mather, CA)
    …Medicine and Rehabilitation based Pain Management Team and provides intensive case management services to Veterans experiencing chronic pain with or without ... group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management . Ability to incorporate complex multiple causation in… more
    Veterans Affairs, Veterans Health Administration (08/22/25)
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  • Discharge Planner II (LVN) - Utilization…

    Prime Healthcare (San Dimas, CA)
    …focused. Responsibilities Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned ... and files them accordingly or as per facility's procedure. Assists with case management referrals, discharge planning as assigned, by interviewing… more
    Prime Healthcare (08/21/25)
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